Aviña-Zubieta J A, Páez F, Galindo-Rodriguez G
Rheumatic Disease Unit, Hospital de Especialidades del Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social, Seris y Zaachila S/N, Mexico City, Mexico.
Curr Opin Rheumatol. 1997 Jan;9(1):51-5. doi: 10.1097/00002281-199701000-00010.
Rheumatic diseases have not proved to be more prevalent among neurologic or psychiatric patients than in the general population, except for osteoarthritis in some chronic disabling neurologic conditions (poliomyelitis, spinal cord injury). Some neurologic entities with relevant musculoskeletal manifestations are described here. The lower prevalence of rheumatoid arthritis in schizophrenia patients is mentioned, and a brief description is presented of somatoform disorders that may confound diagnosis with rheumatic diseases. Factitious disorders and malingering are frequently presented with rheumatic complaints such as low back pain and may have an important impact on the costs associated with the disease. Finally, some of the immune system abnormalities described in major depression and schizophrenia are mentioned with a clear reference to the growing field of psychoneuroimmunology. This paper will not address the issue of neurologic or psychiatric manifestations of rheumatic diseases.
除了在一些导致慢性残疾的神经系统疾病（如脊髓灰质炎、脊髓损伤）中骨关节炎较为常见外，尚未证明风湿性疾病在神经科或精神科患者中比在普通人群中更为普遍。本文将介绍一些具有相关肌肉骨骼表现的神经疾病。文中提到了精神分裂症患者类风湿关节炎患病率较低的情况，并简要描述了可能与风湿性疾病诊断相混淆的躯体形式障碍。诈病和装病常表现为如腰痛等风湿性症状，可能对该疾病的相关费用产生重大影响。最后，文中提到了重度抑郁症和精神分裂症中描述的一些免疫系统异常情况，明确提及了心理神经免疫学这一不断发展的领域。本文将不讨论风湿性疾病的神经或精神表现问题。
